Given the chance to speak before learning his sentence, Sandusky chose to focus on himself.
"In my heart I did not do these alleged disgusting acts," he said.
He described instances in which he helped children and did good works in the community, adding: "I've forgiven, I've been forgiven. I've comforted others, I've been comforted. I've been kissed by dogs, I've been bit by dogs. I've conformed, I've also been different. I've been me. I've been loved, I've been hated."
About the only thing that didn't come out of his mouth was an apology. Mental health professionals say it's not unusual for sex offenders to avoid taking responsibility, either in a bid to get out of legal trouble or because they're in psychological denial. Prosecutor Joe McGettigan dismissed Sandusky's comments as "a masterpiece of banal self-delusion, completely untethered from reality."
Sandusky had easy access to children through The Second Mile, the charity for troubled youths he founded in the 1970s. One question left unanswered is how many more possible victims have come forward since Sandusky's arrest last November - and how many have kept quiet.
Mitchell Garabedian, a Boston attorney who represents a 40-year-old man who says he was molested by Sandusky as a 16-year-old high school football player, said he believes Sandusky's pedophilia goes back decades, and urged the attorney general's office to consider another criminal prosecution.
"In all probability, he sexually molested hundreds of children over the course of decades," Garabedian said. "He was cunning, clever and conniving."
A spokesman for state Attorney General Linda Kelly declined comment on whether Sandusky could face additional charges, citing an ongoing grand jury investigation. But the statute of limitations would likely bar prosecutors from going after Sandusky for older crimes. Current Pennsylvania law allows them to file charges until a child victim's 50th birthday - but only for cases involving victims born Aug. 27, 1984 or later.
With Sandusky's lawyers preparing an appeal of his conviction and sentence, it might be wise for prosecutors to line up additional alleged victims - but only if they are willing to go through a high-profile trial, said Kristen Houser of the Pennsylvania Coalition Against Rape.
"This case looks like it's over as of today, but you never know where things will take a turn," she said.